| NPI | 1902827694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AZ 19112) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2000213) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-03-17 |