| NPI | 1740242320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OR MD210371) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD210371) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 25446) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-08-01 |