| NPI | 1528203874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: VA 0101251775) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101251775) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2026-02-03 |