| NPI | 1396871844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 67119) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 67119) |
| 208000000X Pediatrics (Licence: FL ME122126) | |
| 208000000X Pediatrics (Licence: TX T7464) | |
| 208000000X Pediatrics (Licence: AZ 67119) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME122126) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD448226) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX T7464) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-08-25 |