| NPI | 1780780437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 14222) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OK 14222) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-07-25 |