NPI | 1811968134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 53613) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA04207500) |
2080P0205X Pediatrics Pediatric Endocrinology (Licence: TN 56313) | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2024-01-10 |