NPI | 1073727269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2009011804) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 05-33759) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2023-11-03 |