| NPI | 1346536893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301098557) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AR E-10238) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2026-06-11 |