| NPI | 1164425740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: SD 3920) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TN 36353) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2022-09-07 |