| NPI | 1992186845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2026003618) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 05-52705) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2026-05-27 |