| NPI | 1861453367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NV 16134) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 29720) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2016-06-02 |