| NPI | 1912012568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C55636) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA C55636) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-06-21 |