| NPI | 1821435751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AK 212001) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AK 212001) |
| 208000000X Pediatrics (Licence: WA MD60946865) | |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2024-04-02 |