NPI | 1558397299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MS 21228) |
Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME91725) |
207RN0300X Internal Medicine, Nephrology (Licence: FL ME91725) | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2016-05-20 |