NPI | 1871173633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME168147) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2023-02230) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-14 |
Last Update Date | 2025-05-30 |