| NPI | 1578647707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 24349) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MN 24349) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |