| NPI | 1770558033 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 036080260)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036080260)  | 
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IN 01082110)  | |
| Enumeration Date | 2006-02-21 | 
| Last Update Date | 2019-08-09 |