| NPI | 1831383223 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: IN 01082538A) | 
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MD426741) | 
| Enumeration Date | 2007-08-29 | 
| Last Update Date | 2019-08-07 |