| NPI | 1730349903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MA 233340) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 233340) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |