NPI | 1740212901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 200001011) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200001011) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-07-15 |