NPI | 1396596904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116039223) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-06-18 |