| NPI | 1053394262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME 111704) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CT 035639) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME111704) | |
| 208000000X Pediatrics (Licence: FL ME 111704) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2012-03-05 |