| NPI | 1649257569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OK 16192) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 16192) |
| 208000000X Pediatrics (Licence: OK 16192) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-10-27 |