| NPI | 1487732640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AK 161162) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME95389) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-04-12 |