| NPI | 1710056163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 46997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 46997) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 46997) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-04-09 |