| NPI | 1649664798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CO DR.0066035) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MT214996) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-09-22 |