| NPI | 1881913499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO DR.0073298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014011542) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2014011542) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CO DR.0073298) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2024-10-22 |