| NPI | 1619926565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TN MD0000044316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 44316) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-02-04 |