| NPI | 1720061153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NH 14529) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 14529) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-07-29 |