| NPI | 1194983429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 251187) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 251187) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-07-21 |