| NPI | 1861067845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 8941) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 8941) |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2026-04-05 |