| NPI | 1396108718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A155082) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A155082) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2022-08-05 |