NPI | 1740543396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MI 4301111169) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301111169) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2016-12-20 |