| NPI | 1750490918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: NV 17690) |
| Additional Taxonomies | 2080P0210X Pediatrics Pediatric Nephrology (Licence: AZ 20815) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-02-23 |