| 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 |