| NPI | 1588892269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MO 2015007373) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: KS 0534799) |
| 208000000X Pediatrics (Licence: MO 2015007373) | |
| 208000000X Pediatrics (Licence: KS 0534799) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2026-03-01 |