| NPI | 1346531142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: MO 2014007835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014007835) |
| 2080P0210X Pediatrics Pediatric Nephrology (Licence: KS 04-39848) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2022-07-21 |