NPI | 1851730774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ TRN18877) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 56118) |
207P00000X Emergency Medicine (Licence: FL ME127734) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2017-03-07 |