| NPI | 1467537357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.202441) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NJ MA62698) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA MD.202441) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA 202441) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-05-12 |