NPI | 1710960166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 82203) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 82203) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2014-07-09 |