| NPI | 1710951470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35.151907) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.151907) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD069182L) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-10-11 |