| NPI | 1780797811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AL 23798) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: ID M-17082) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-06-05 |