NPI | 1366496572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA03138700) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 1064061) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2013-07-05 |