| NPI | 1437506342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IA MD-49747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10510) |
| 208000000X Pediatrics (Licence: IA MD-49747) | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2022-08-01 |