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 |