| NPI | 1629502281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A157437) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA Fellow) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-07-05 |