NPI | 1952668311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AL MD.33016) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 308672) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 308672) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2021-12-20 |