NPI | 1669569513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 27884) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: SC 27884) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2018-05-22 |