NPI | 1790031417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 283627) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A129793) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-07-31 |
Last Update Date | 2020-05-08 |