| NPI | 1316092554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: PA MD451235) |
| Additional Taxonomies | 2080P0210X Pediatrics Pediatric Nephrology (Licence: OH 35056456) |
| 2080P0210X Pediatrics Pediatric Nephrology (Licence: DE C1-0012363) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-09-24 |