| NPI | 1780041350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 72481) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI 20481) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2023-07-31 |