NPI | 1750396263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 257223) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257223) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OR MD23046) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2018-07-19 |