| NPI | 1063494524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NV 23921) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME 92825) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IA MD-45607) | |
| 208000000X Pediatrics (Licence: OH 35099088) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME0092825) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35099088) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-09-18 |