| NPI | 1407862485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2005021465) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2005021465) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2026-03-05 |