| NPI | 1669862462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA11379800) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 68801) |
| 208000000X Pediatrics (Licence: WI 68801) | |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2022-08-18 |