| 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 |