| NPI | 1427410737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WI 71985) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MI 5101026041) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-01-14 |