| NPI | 1669628798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CO DR.0060562) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114633) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A114633) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2018-08-22 |