| NPI | 1558384594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: LA 12475R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 12475R) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-10-22 |