| NPI | 1295753515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD041638L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD041638L) |
| 208000000X Pediatrics (Licence: NJ 25MA07018300) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA07018300) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-04-18 |