| NPI | 1417940982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NM MD2015-0215) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX J5286) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA G46878) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2024-07-05 |