NPI | 1790758415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: IA 40231) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD419015) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2012-06-27 |