| NPI | 1598068736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A103325) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AR E-8979) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: FL ME109540) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2019-08-26 |