NPI | 1053631291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA10083900) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT206741) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: DE c10012125) | |
Enumeration Date | 2010-06-10 |
Last Update Date | 2019-04-16 |