| NPI | 1811971997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TN 0000024835) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 200401240) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-02-20 |