| NPI | 1528224193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA09880700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT193017) |
| 208000000X Pediatrics (Licence: DE C10004871) | |
| 208000000X Pediatrics (Licence: NJ 25MA09880700) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2016-05-31 |