| NPI | 1558677203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: MO 2015035585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015035585) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2018-01-24 |