| NPI | 1427121250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME39939) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME39939) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-01-15 |