| NPI | 1003994310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: KY 16806) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 16806) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-09-03 |