NPI | 1811219314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01079546A) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053981) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-02-24 |
Last Update Date | 2018-11-01 |