| 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 |