| NPI | 1740268333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2004009708) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2004009708) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-02-09 |