| NPI | 1548207038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NJ 25MA10679200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301084948) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036117155) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 2011-00127) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-10-24 |