NPI | 1194067439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MI 4301504521) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301504521) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2021-10-06 |