| NPI | 1336568708 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX R2468) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R2468) | 
| Enumeration Date | 2014-04-14 | 
| Last Update Date | 2025-05-27 |