| NPI | 1972879088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2017020381) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017020381) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2024-04-25 |