| NPI | 1568402188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA C51061) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WI 48795) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-01-28 |