NPI | 1306101415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301107188) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM MD2018-0069) |
390200000X Student in an Organized Health Care Education/Training Program | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX R8513) | |
Enumeration Date | 2012-07-05 |
Last Update Date | 2022-08-04 |