| NPI | 1821157298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A155607) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A155607) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-08-01 |