| NPI | 1033187232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OH 35.061105) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: KY 46051) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-09-05 |