| NPI | 1346319985 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101026539) | 
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: IN 01064703) | 
| Enumeration Date | 2006-11-07 | 
| Last Update Date | 2010-06-01 |