NPI | 1427076744 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX K1295) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TX K1295) |
207RN0300X Internal Medicine, Nephrology (Licence: TX K1295) | |
208000000X Pediatrics (Licence: TX K1295) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-02-12 |