| NPI | 1831499409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: GA 67712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 67712) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2025-05-01 |