NPI | 1831630193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD474330) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125070602) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-19 |
Last Update Date | 2023-11-03 |