| NPI | 1154881282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS025690) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA OS025690) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2026-09-02 |