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 |