| NPI | 1245527787 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX P9225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0087481) |
| 208000000X Pediatrics (Licence: TX P9225) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-01-17 |