| NPI | 1497862866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AL 26672) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.26672) |
| 208000000X Pediatrics (Licence: AL MD.26672) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-01-13 |