NPI | 1922307701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35123107) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 310619) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-20 |
Last Update Date | 2018-09-26 |