| NPI | 1932441557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A141224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ml60368638) |
| 208000000X Pediatrics (Licence: CA A141224) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-04-16 |