| NPI | 1578853636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35124041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35124041) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2022-02-21 |