| NPI | 1538170055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: LA 09014R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 09014R) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-04-19 |