NPI | 1003618950 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-12381) |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-06-17 |