| NPI | 1639256928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 51538) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: DC MD18200) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-07-19 |