| NPI | 1356595862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 269800) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 003556) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2013-07-23 |