| NPI | 1942464771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A110195) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-15012) |
| 207P00000X Emergency Medicine (Licence: OR MD197782) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-04-25 |