| NPI | 1326087941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 09436R) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: LA MD09436R) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-05-03 |