| NPI | 1962670232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NC 2008-00424) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2008-00424) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2014-06-18 |