| NPI | 1992810048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME128277) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 21660) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-07-21 |