| NPI | 1356583363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NE 33284) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NM MD2016-0691) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2023-09-14 |