NPI | 1861887259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: GA 80336) |
Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: SC MD86545) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN Applied For) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2025-08-18 |