NPI | 1831119502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 2021-01567) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0101235985) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2021-10-29 |