| NPI | 1861458002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA C52377) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: TN 38583) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |