| NPI | 1376759860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PR 14353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 14353) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-08-24 |