| NPI | 1891990743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: GA 060045) |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MO 2007015922) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2011-10-28 |