| NPI | 1306294558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WI 82006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019017109) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2023-08-25 |