| NPI | 1326467713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 0101259136) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VT 0101259136) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-11-10 |