| NPI | 1164438016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MD419759) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419759) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD419759) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD419759) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-01-31 |