| NPI | 1801910617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MI 4301083829) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MO 2007014909) |
| 208000000X Pediatrics (Licence: MI 4301083829) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-07-31 |