Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | ME107289 | FL |
NPI | 1003836719 |
---|---|
Provider Name | Ralph William Charlton |
First Address | Hollywood, FL 33021-5424 |
Second Address | Hollywood, FL 33021-5424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 10/05/2011 |