| NPI | 1487824637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: LA MD.026402) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.026402) |
| 208000000X Pediatrics (Licence: AL MD.28842) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2021-01-05 |