| NPI | 1255786554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY NA) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 297939) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2024-07-26 |