| NPI | 1316285521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0101265909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101265909) |
| 208000000X Pediatrics (Licence: NY 282898) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 282898) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2022-01-31 |