NPI | 1992231765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD198762) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 157837) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-11-03 |