NPI | 1992234348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OH 35.148606) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 307695) | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2023-08-08 |