| NPI | 1598140238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA C197806) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C197806) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-12-13 |