| NPI | 1659471985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: WI 41779) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WI 41779) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-09-30 |