| NPI | 1144473570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N2747) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX N2747) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2010-10-01 |