NPI | 1952842288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX T8190) |
Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX T8190) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2023-04-29 |