| NPI | 1790755502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AZ 42956) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 182353-1205) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-01-11 |