| NPI | 1669483855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME56326) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX J9778) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-09-06 |