| NPI | 1861887259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: SC MD86545) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN Applied For) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-07-09 |