NPI | 1093154775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301102950) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102950) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2022-05-26 |