NPI | 1902556228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A202021) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 26203) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NV 390200000X) | |
Enumeration Date | 2022-03-28 |
Last Update Date | 2025-06-11 |