| NPI | 1043261225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 75458) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 75458) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2007-07-08 |