| NPI | 1467716027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MN 62832) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012020031) |
| 208000000X Pediatrics (Licence: MN 62832) | |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WI 73899) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2020-10-28 |