NPI | 1114592565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OR MD225029) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2025-07-10 |