| NPI | 1902916182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: DC MD037584) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: KY 57239) |
| 208000000X Pediatrics (Licence: KY 57239) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-01-12 |