| 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 |