| NPI | 1659327070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 04-33212) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 5092789) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-02-15 |