| NPI | 1922135029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 5034) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PR 5034) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |