| NPI | 1902838592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TN MD54527) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MO 2007007792) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: KS 0432410) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35.080288) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-03-14 |