| NPI | 1851617898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 10701116-1205) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: UT 10701116-1205) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2026-04-05 |