| NPI | 1710900766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AL 28137) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 28137) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-10-19 |