| NPI | 1447839923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 330544) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: RI LP06489) |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2025-07-09 |