| NPI | 1275946733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: ND 16367) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND 16367) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MN 67239) | |
| 208000000X Pediatrics (Licence: MN 67239) | |
| 208000000X Pediatrics (Licence: MI 4301104860) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-08-18 |