| NPI | 1881089902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WI 73582) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WI 7358220) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-06-30 |