NPI | 1699737932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G51433) |
Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA G51433) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2024-07-02 |