| NPI | 1386808285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA 20A14189) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125053198) |
| 208000000X Pediatrics (Licence: WI 54623) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-05-06 |