NPI | 1871970301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: TX T1812) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX T1812) |
2080P0205X Pediatrics Pediatric Endocrinology (Licence: MD D86004) | |
Enumeration Date | 2015-05-05 |
Last Update Date | 2023-11-14 |