| NPI | 1326314170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WI 63801) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 63801-21) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2018-07-05 |