| NPI | 1487856571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME111299) |
| Additional Taxonomies | 2080P0216X Pediatrics Pediatric Rheumatology (Licence: FL ME111299) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-06-27 |