| NPI | 1730494543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX Q6487) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MI 4301110196) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2021-04-09 |