| NPI | 1659392652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MN 48439) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 48439) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-13 |