| NPI | 1598927360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: PA MD442312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT193051) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2014-07-08 |