NPI | 1780668269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: CA G21755) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G21755) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2012-03-07 |