| NPI | 1326306978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301106778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301106778) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2020-02-19 |