| NPI | 1083657068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CO DR.058918) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH OH35.078780) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-11-19 |