NPI | 1265480248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD426008) |
Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NJ 25MA03488100) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2007-07-08 |