| NPI | 1245408152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD466667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093243) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2020-08-28 |