| NPI | 1346233392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080B0002X Pediatrics, Obesity Medicine (Licence: NV 8479) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NV 8479) |
| 208000000X Pediatrics (Licence: NV 8479) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2024-07-22 |