| NPI | 1396742474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35.057263) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: GA 62185) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-12-12 |