| NPI | 1376709816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OK 26533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 26533) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2015-07-24 |