| NPI | 1861734543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NM A-1957-16) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.012693) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2024-12-10 |