| NPI | 1174539340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301057425) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301057425) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-11-27 |