| NPI | 1821061490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NY 144443) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OH 35.135356) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-12-29 |