| NPI | 1578914875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX T6537) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AZ 007958) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-09-21 |