| NPI | 1619473246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX U5635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0064433) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX BP2-0073708) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-05-28 |