| NPI | 1114312915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AR E-16869) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S3107) |
| 208000000X Pediatrics (Licence: AR E-16869) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX S3107) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-09-12 |