| NPI | 1447440698 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: IA 41017)  | 
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MD431998)  | 
| Enumeration Date | 2007-07-25 | 
| Last Update Date | 2013-06-27 |