NPI | 1518312412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25IA12819900) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25IA12819900) |
208000000X Pediatrics (Licence: AL MD.36643) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-28 |
Last Update Date | 2025-09-17 |