| NPI | 1710430475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 023120) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 023120) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2025-02-19 |