| NPI | 1871156471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A204016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0069624) |
| 208000000X Pediatrics (Licence: CA A204016) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-12-04 |