| NPI | 1588873335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: SD 8921) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7820) |
| 208000000X Pediatrics (Licence: SD 8921) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-05-22 |