| NPI | 1407172802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2013020356) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013020356) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2024-04-25 |