| NPI | 1154350528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G70850) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G070850) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G070850) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-11-20 |