| NPI | 1497753750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 33323) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 33323) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2012-03-27 |