NPI | 1881155893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 332925) |
207P00000X Emergency Medicine (Licence: NY 317356) | |
Enumeration Date | 2019-03-31 |
Last Update Date | 2022-08-09 |