NPI | 1902007081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD428254) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428254) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2014-12-05 |