| NPI | 1447674858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S7316) |
| Additional Taxonomies | 2080P0210X Pediatrics Pediatric Nephrology (Licence: TX S7316) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-02-01 |