| NPI | 1740400902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD424164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD424164) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2009-07-29 |