| NPI | 1164462578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD021807E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA md021807e) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-03-28 |