| NPI | 1346565231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MO 2017020518) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: KS 04-40215) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2022-07-21 |