| NPI | 1104887306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX G8080) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2024040558) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-11-22 |