| NPI | 1003079526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301092307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092307) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092307) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-07-31 |