NPI | 1093891772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WA MD00038965) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00038965) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2009-02-12 |