NPI | 1386808285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA 20A14189) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125053198) |
208000000X Pediatrics (Licence: WI 54623) | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2022-05-06 |