| NPI | 1437353356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PR 18183) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME104962) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-10-12 |