| NPI | 1265896807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MS 965-L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 292230) |
| 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MA 292230) | |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2022-06-27 |