NPI | 1114346749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: ID O-1399) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-04-10 |
Last Update Date | 2023-12-04 |