NPI | 1427319789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DE C2-0011594) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C2-0011594) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2022-04-14 |