| NPI | 1861710220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO217872) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q3828) |
| 207P00000X Emergency Medicine (Licence: ID O-1904) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2024-02-26 |