| NPI | 1861576639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 123644) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 123644) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-12-07 |