NPI | 1770720799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A92055) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A92055) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA a92055) | |
Enumeration Date | 2009-01-13 |
Last Update Date | 2023-12-04 |