NPI | 1528081064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G42045) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G42045) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2012-03-19 |