| NPI | 1417904053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0101027874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101027874) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2010-01-20 |