| NPI | 1801216007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101021037) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R9113) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2020-08-19 |