NPI | 1093009672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 006693) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 006693) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-01 |
Last Update Date | 2017-07-30 |