| NPI | 1356340012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD435713) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX L1862) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-07-30 |