| NPI | 1427223114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD487792) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57013240) |
| 208000000X Pediatrics (Licence: OH 35095741) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2025-03-04 |