NPI | 1679736649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WA 60207732) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60207732) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2018-05-23 |