| NPI | 1770788085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: CO 48738) |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MN 56157) |
| 2080P0205X Pediatrics Pediatric Endocrinology (Licence: GA 67566) | |
| 2080P0205X Pediatrics Pediatric Endocrinology (Licence: FL ME 109590) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-06-10 |