| NPI | 1346233319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35070302) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301064550) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2023-06-20 |