| NPI | 1609826908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MO R7P77) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: KS 04-24546) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-12-05 |