| NPI | 1760916241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AL MD.40976) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.40976) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-07-02 |