NPI | 1477530939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MA 52300) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 52300) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2012-11-30 |