| NPI | 1679759617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MO 2008029022) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008029022) |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2024-04-25 |