NPI | 1568881027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA MD-44290) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 65207-20) |
208000000X Pediatrics (Licence: IA MD-44290) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-14 |
Last Update Date | 2022-07-21 |