| NPI | 1619934213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: ID M-6953) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OR 12771) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-01-29 |