| NPI | 1619951605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 16656) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: VA 0101018856) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2008-05-13 |