| 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 |