| NPI | 1811033962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD434059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD434059) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-11-03 |