| NPI | 1720662828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MT231947) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-06-13 |