NPI | 1316285521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0101265909) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101265909) |
208000000X Pediatrics (Licence: NY 282898) | |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 282898) | |
Enumeration Date | 2013-01-22 |
Last Update Date | 2022-01-31 |