| NPI | 1174511588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: TN MD20802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD20802) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-01-29 |