| NPI | 1073727269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MO 2009011804) |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: KS 05-33759) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-11-03 |