NPI | 1962433615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AR E3692) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E3692) |
2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AR E3692) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2025-03-02 |