| NPI | 1831693589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A166271) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A166271) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-09-04 |