| NPI | 1619915246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NJ 25MA12443900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012018715) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MO 2012018715) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-10-29 |