| NPI | 1518257427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CO DR.0058592) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NM TM2022-1177) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-12-21 |