| NPI | 1679521470 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 10814709-1205) | 
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: ID MI-8792) | 
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 04-28875) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: SD 7097) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2010026536) | |
| Enumeration Date | 2006-05-04 | 
| Last Update Date | 2024-02-29 |