| NPI | 1275577348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME135047) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME135047) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 120462) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-12-12 |