| NPI | 1518175991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: AZ 38072) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD425970) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-01-22 |