| NPI | 1639210552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 0432699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007014000) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-08-10 |