NPI | 1891143897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A168725) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351032642) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351032642) | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2020-10-30 |