| 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 |