NPI | 1891990743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: GA 060045) |
Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MO 2007015922) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2011-10-28 |