| NPI | 1083681258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics Pediatric Rheumatology (Licence: CA A53446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A53446) |
| 208M00000X Hospitalist (Licence: CA A53446) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-11-12 |