| NPI | 1447631866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 01709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 01709) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 01709) | |
| 208000000X Pediatrics (Licence: NC 01709) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-06-19 |