| NPI | 1144515818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 258382) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MA 258382) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2017-10-05 |