NPI | 1538182548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA 10448R) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 10448R) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2013-04-03 |