NPI | 1760742613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01075119A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100862) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301100862) | |
Enumeration Date | 2012-05-25 |
Last Update Date | 2022-08-15 |