NPI | 1912341934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX S0089) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX S0089) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-21 |
Last Update Date | 2024-06-11 |