| NPI | 1215965595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME96677) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA G54520) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036-163497) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-12-12 |