| NPI | 1477559425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NM 98-339) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM 98-339) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-08-05 |