| NPI | 1982697561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX J8534) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J8534) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-01-06 |