| NPI | 1841813243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101026786) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151014703) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101021786) | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2022-08-15 |