| NPI | 1598930471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WA MD60329823) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60329823) |
| 208000000X Pediatrics (Licence: PA MD443409) | |
| 208000000X Pediatrics (Licence: MT 26318) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2019-06-12 |