NPI | 1225667116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101027453) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 5151014402) |
390200000X Student in an Organized Health Care Education/Training Program | |
208000000X Pediatrics (Licence: MI 5151014402) | |
Enumeration Date | 2020-04-03 |
Last Update Date | 2025-05-14 |