| NPI | 1992493308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA PHY107368) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2026-08-06 |