NPI | 1770707234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: TN 42605) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-10-15 |