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 |