| NPI | 1770978363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: RI MD18498) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 286562) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-06-03 |