| NPI | 1033358676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 255029) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 255029) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2020-05-29 |