| NPI | 1184945628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2011027135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011027135) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 05-38813) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-03-04 |