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 |