| NPI | 1063558435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MD D66917) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MD T4706) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-09-02 |