NPI | 1831682046 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM DO2022-0058) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NM DO2022-0058) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2023-09-12 |