| NPI | 1811062615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 2022-02209) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME103620) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-10-27 |