| NPI | 1457462426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A067023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A67023) |
| 207R00000X Internal Medicine (Licence: CA A067023) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-18 |