| NPI | 1639142268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NC 2011-00292) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2011-00292) |
| 208000000X Pediatrics (Licence: NC 2011-00292) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-12-18 |