NPI | 1447645056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 5101026582) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 34.013297) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: KY 04746) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2022-08-10 |