NPI | 1013953017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX H1183) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX H1183) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2007-07-13 |