| 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 |