| NPI | 1982625778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OR MD161685) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MO 2001004977) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-03-23 |