| NPI | 1790170520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AL MD.38092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.38092) |
| 207R00000X Internal Medicine (Licence: AL 38092) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: AL MD.38092) | |
| 208000000X Pediatrics (Licence: AL MD.38092) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-02-02 |