NPI | 1982099917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35.146688) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD465137) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-06 |
Last Update Date | 2022-10-03 |