| NPI | 1265444715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME99779) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME99779) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 222881) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-06-27 |