| NPI | 1710929187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA MD.05179R) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MS 13689) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-05-22 |