NPI | 1336568708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX R2468) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX R2468) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2025-05-27 |