| NPI | 1093743205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: ME 1501) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NH 15535) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-11-04 |