| NPI | 1386876043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD479119) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AR E-9637) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD479119) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2024-05-03 |