| NPI | 1386907574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CO DR.0071197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016008386) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MO 2016008386) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-07-06 |