NPI | 1265556989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: SC 82049) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085639) |
2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301085639) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085639) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2019-05-29 |