| NPI | 1689036436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A168738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A168738) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A168738) | |
| 208000000X Pediatrics (Licence: CA A168738) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-06-25 |