NPI | 1821234170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OR MD193516) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A104407) |
Enumeration Date | 2008-12-16 |
Last Update Date | 2021-02-15 |