| NPI | 1134562184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: TN 53403) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 53403) |
| 207R00000X Internal Medicine (Licence: TN MD0000053403) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2025-12-12 |