NPI | 1407172802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2013020356) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013020356) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2024-04-25 |