| NPI | 1952423188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD045417) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036125701) |
| 207P00000X Emergency Medicine (Licence: MA 254353) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085916) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-04-05 |