| NPI | 1831611730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AR E-17536) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.029596) |
| 208000000X Pediatrics (Licence: AR E-17536) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT219815) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-02-13 |