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 |