| NPI | 1255872479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2020019635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020019635) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2020019635) | |
| 208000000X Pediatrics (Licence: MO 2020019635) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-09-03 |