| NPI | 1205853884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA C145798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 44711) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-04-26 |