NPI | 1659357200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G38484) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G38484) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2024-04-10 |