| NPI | 1912937475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NM MD2019-0007) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 32413) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-01-31 |