NPI | 1790046886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A155447) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 55058) |
207P00000X Emergency Medicine (Licence: NY 60 277084) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-05 |
Last Update Date | 2018-07-23 |