| NPI | 1023208261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A95664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A95664) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MD431896) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-02-27 |