| NPI | 1043989841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MN 72033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 72033) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 31541) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-08-06 |