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 |