| NPI | 1093781254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: ME 017981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 224852) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2011-01-04 |