| NPI | 1992902837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2006014602) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 04-31869) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2026-09-11 |