| NPI | 1740695188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2017013118) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017013118) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-04-17 |