NPI | 1871098830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0066196) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 1871098830) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-02-19 |