NPI | 1649764515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MT215273) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT215273) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT215273) | |
Enumeration Date | 2018-06-14 |
Last Update Date | 2021-06-21 |