NPI | 1902338932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: OR MD215512) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0066132) |
207P00000X Emergency Medicine (Licence: PR MD215512) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2023-08-15 |