| NPI | 1154616068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX P7640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P7640) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-07-03 |