| NPI | 1316033749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 14435) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WI 49743) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-05-26 |