| NPI | 1033459599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OK 33197) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD485412) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2024-10-10 |