| NPI | 1215157078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MD4244582) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD4244582) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-04-15 |