| NPI | 1932693942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB11367700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC DO034994) |
| 207P00000X Emergency Medicine (Licence: MD H0091202) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-09-04 |