NPI | 1699798637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.127637) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.127637) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2021-11-02 |