| NPI | 1184811937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 2009-00261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00261) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2009-00261) | |
| 208000000X Pediatrics (Licence: NC 2009-00261) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-12-18 |