NPI | 1922004019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD017873E) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD017837E) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2015-10-30 |