NPI | 1659830040 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A19606) |
Enumeration Date | 2019-03-15 |
Last Update Date | 2025-09-25 |