NPI | 1881222479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5151014291) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208D00000X General Practice (Licence: MI 5151014291) | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2023-10-02 |