NPI | 1366628349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics Pediatric Rheumatology (Licence: MO 2007011565) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007011565) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2024-04-25 |