NPI | 1417107285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 65029) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: SC 38584) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-09-29 |
Last Update Date | 2020-06-04 |