| NPI | 1922053701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX L5951) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L5951) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-06-19 |