| NPI | 1003081100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME116950) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.096853) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2022-10-11 |