| NPI | 1982231098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U8322) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01089848A) |
| 207P00000X Emergency Medicine (Licence: MI 4351046448) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-09-27 |