| NPI | 1912357989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MO 2018025322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018025322) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-04-15 |