| NPI | 1760531560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OH 35.093843) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D67365) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-08-13 |