NPI | 1861831596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125063713) |
Enumeration Date | 2013-06-16 |
Last Update Date | 2017-12-01 |