| NPI | 1770720799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A92055) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A92055) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA a92055) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2023-12-04 |