| NPI | 1619298106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OH 35.136318) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.136318) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2023-10-10 |