| NPI | 1801068234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OK 27866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 246671-1) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2010-09-08 |