| NPI | 1639483373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: VA 0101253093) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CT 048941) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2023-11-27 |