NPI | 1013233766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A120363) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A120363) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2021-03-24 |