| NPI | 1851617898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 10701116-1205) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.098522) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: UT 10701116-1205) | |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OH 35.098522) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-10-15 |