| NPI | 1225562440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: CA A172426) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A172426) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-02-22 |