| NPI | 1609083708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD423800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD423800) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-04-18 |