NPI | 1275952020 |
---|---|
Other Name | TAYLOR SUNDBY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0085726) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 142969) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2018-07-05 |