| NPI | 1871970301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX T1812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T1812) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MD D86004) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-11-14 |