| NPI | 1700012432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CO DR.0052283) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX N2372) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2013-04-17 |