| NPI | 1891935961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS11996) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.010301) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-07-01 |