| NPI | 1184773582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: SC 35122) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TN 42534) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-03-22 |