| NPI | 1932125408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: FL ME89273) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME89273) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-09-14 |