NPI | 1922085414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 78976) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CT 78967) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 42275) | |
Enumeration Date | 2005-12-27 |
Last Update Date | 2024-08-22 |