| NPI | 1619085776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 40567) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IN 01057659) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-05-22 |