NPI | 1124121553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MO 2010015651) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101233549) |
2080P0210X Pediatrics, Pediatric Nephrology (Licence: VA 0101233549) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2011-06-14 |