| NPI | 1932362910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: LA 330331) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 330331) |
| 207P00000X Emergency Medicine (Licence: TX P7346) | |
| 207P00000X Emergency Medicine (Licence: CO 49966) | |
| 207P00000X Emergency Medicine (Licence: MN 64961) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MN 64961) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-04-05 |