| NPI | 1962452490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD025408E) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: IN 01062484) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-11-16 |