NPI | 1851533525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME112551) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL LL31712) |
390200000X Student in an Organized Health Care Education/Training Program | |
207P00000X Emergency Medicine (Licence: SC LL31712) | |
Enumeration Date | 2009-03-27 |
Last Update Date | 2023-09-26 |