| NPI | 1669411435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CO DR.0044364) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 44364) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-08-09 |