| NPI | 1407231913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX U6612) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U6612) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IA MD-47190) | |
| 208000000X Pediatrics (Licence: IA MD-47190) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036-159245) | |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2024-04-25 |