| NPI | 1558660423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX P9638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P9638) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2021-01-26 |