NPI | 1952714875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MI 4301506259) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA VA0101259477) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2025-07-21 |