NPI | 1821234170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AZ 75470) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 75470) |
Enumeration Date | 2008-12-16 |
Last Update Date | 2025-07-17 |