| NPI | 1528404597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.33975) |
| Additional Taxonomies | 2080P0210X Pediatrics Pediatric Nephrology (Licence: MA 267412) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-04-07 |