| NPI | 1306813332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: ZZ 88468) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 217797) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-10-01 |