| NPI | 1518385111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: GA 86834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 61961) |
| 208000000X Pediatrics (Licence: GA 86834) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-09-17 |