NPI | 1952795460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD464401) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT208411) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-23 |
Last Update Date | 2019-06-20 |