| NPI | 1245281278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME98557) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2001006104) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME98557) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-10-22 |