| NPI | 1871557447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 150548) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MA 150548) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2019-01-16 |