NPI | 1144617044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 56201) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 56201) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-20 |
Last Update Date | 2021-08-14 |