| NPI | 1225089204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AR E5822) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NE 18185) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AR E5822) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NE 18185) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2018-10-04 |