| NPI | 1962433615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AR E3692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E3692) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: AR E3692) | |
| 208000000X Pediatrics (Licence: AR E3692) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-03-07 |