| NPI | 1063584290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 371149-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 371149-1205) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-10-02 |