| NPI | 1922419993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WA MD61025347) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AK 164282) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A139758) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-10-25 |