NPI | 1326191743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 3397) |
Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PR 3397) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PR 3397) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2007-07-08 |