| NPI | 1982669362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: SD 8865) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: AZ 35348) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-04-04 |