NPI | 1932660081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 325934) |
Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A204615) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2025-09-24 |