| NPI | 1528221538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MN 56173) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX R7753) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-08-14 |