| NPI | 1922279512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MT MED-PHYS-LIC-88230) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD50214) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.096799) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TN MD50214) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KY 44059) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2024-02-19 |