NPI | 1649257569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OK 16192) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 16192) |
208000000X Pediatrics (Licence: OK 16192) | |
Enumeration Date | 2005-12-30 |
Last Update Date | 2007-10-27 |