NPI | 1134181647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME119884) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A81750) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2016-11-15 |