| NPI | 1831268283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MI 4301097647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301097647) |
| 208000000X Pediatrics (Licence: MA 223743) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-01-27 |