| NPI | 1679541841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: ND 12622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M3178) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX M3178) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 56285) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-05-01 |