NPI | 1972604981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MN 30336) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30336) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2012-04-18 |