| NPI | 1609072214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MA 291246) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA MD.205968) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2022-05-19 |