| NPI | 1053631291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: NJ 25MA10083900) |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: PA MT206741) |
| 2080P0205X Pediatrics Pediatric Endocrinology (Licence: DE C10012125) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-04-16 |