NPI | 1174765754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: WA MD60299979) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60299979) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2018-05-30 |