NPI | 1861582512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7659) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 40017) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2017-03-21 |