| NPI | 1174842348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TN 54336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 54336) |
| 208000000X Pediatrics (Licence: OR MD163055) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2017-02-15 |