| NPI | 1497832240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 36582) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 36582) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-09 |