| NPI | 1669439469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35-046637) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA MD15331R) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-07-17 |