| NPI | 1184699522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: VA 0101249083) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301057213) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35.0744921) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OR 35.074921) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-02-07 |