| NPI | 1780856195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MI 4301108597) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 253558) |
| 208000000X Pediatrics (Licence: MI 4301108597) | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2015-12-11 |