| NPI | 1699737528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX E5988) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AZ 41325) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-05-07 |