NPI | 1386685089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0018381) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MD D18381) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-10-13 |