| NPI | 1952583809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MO 2016029301) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2016029301) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-05-16 |