| NPI | 1205149036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: KS 04-42620) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MO 2020009023) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2025-11-26 |