NPI | 1740784495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A164505) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A164505) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2024-09-20 |