| NPI | 1295999514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NV 12807) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A85660) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |