| NPI | 1194765859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 221725-01) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NJ 25ma07761200) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-01-23 |