| NPI | 1437197555 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MI 4301070595) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301070595) | 
| Enumeration Date | 2006-06-02 | 
| Last Update Date | 2024-11-21 |