NPI | 1437246501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 189185) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 189185) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2013-03-27 |