| NPI | 1033226014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 5061716L) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX L2432) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-09-15 |