| NPI | 1780845818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WA MD60002199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 225159) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WA MD60002199) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2018-06-27 |