| NPI | 1053482810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G76695) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G76695) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-09-28 |