| NPI | 1013953272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 2013-00478) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: GA 022001) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-03-24 |