| NPI | 1942878756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD483915) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2021022167) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-02-11 |