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 |