| NPI | 1457342842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX F5842) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX F5842) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2021-12-03 |