| NPI | 1760825566 |
|---|---|
| Former Name | DAVID KELLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 007356) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5315066555) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH SH848782) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2018-03-17 |