| NPI | 1932367562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 248865) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MA 248865) |
| 207R00000X Internal Medicine (Licence: MA 248865) | |
| 208000000X Pediatrics (Licence: MA 248865) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-06-23 |