| NPI | 1164092888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MT230681) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021021893) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2024-06-11 |