| NPI | 1750413050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD434645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0003286) |
| 208000000X Pediatrics (Licence: PA MT186507) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA08894100) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-04-15 |