| NPI | 1376893487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MI 4301100662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100662) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2021-03-02 |