NPI | 1962066035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A181965) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10066878) |
208000000X Pediatrics (Licence: CA A181965) | |
Enumeration Date | 2019-04-24 |
Last Update Date | 2025-05-29 |