| NPI | 1023237351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A114650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114650) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-06-05 |