| NPI | 1215911201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IN 01062203A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 37943) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: KY 37943) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2022-07-25 |