| NPI | 1497835748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: SC 34010) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: TX H5647) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-07-27 |