| NPI | 1770618498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 31847) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 31847) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AL 31847) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-09-01 |