NPI | 1174056501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TN 62230) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 62230) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MS 35272) | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2025-06-30 |