| NPI | 1194980938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WI 62733-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60019966) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2014-08-11 |