| NPI | 1487615969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: DC MD210002248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 48227) |
| 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MN 48227) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2022-07-26 |