| NPI | 1518916725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A35551) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A35551) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-04-12 |