| NPI | 1033351481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35-121396) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 45201) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-07-01 |