| NPI | 1528232394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA09256300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247973) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-11-04 |