| NPI | 1629056973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: SC 30573) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 48012) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-11-04 |