| 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 |