NPI | 1992327688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A186139) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT219928) |
Enumeration Date | 2020-05-15 |
Last Update Date | 2023-07-25 |