| NPI | 1073622148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: KS 04-17200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-17200) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-02-27 |