| NPI | 1629502455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME144730) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME144730) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-08-09 |