| NPI | 1992733281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD480810) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: SC 22115) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO R3M81) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-06-11 |