| NPI | 1225009822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA G21015) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA G21015) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2025-09-11 |