NPI | 1952937187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T4860) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX T4860) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-19 |
Last Update Date | 2023-08-10 |