NPI | 1154388528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 155108) |
Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MA 155108) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2012-06-27 |