| NPI | 1639353469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD433657) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-119823) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2013-04-18 |