NPI | 1053482810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G76695) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G76695) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2011-09-28 |