NPI | 1992188601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 286309) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 286309) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-30 |
Last Update Date | 2021-11-05 |