NPI | 1144303579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 196898) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 196898) |
Enumeration Date | 2006-10-21 |
Last Update Date | 2021-03-17 |