| NPI | 1609820216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101262635) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: GA 057475) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-01-23 |