| NPI | 1376573683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD434736) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: DE C10009076) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: SC 21533) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-06-07 |