| NPI | 1003018730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO DR-50219) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS013734) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA OS013734) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR DO29046) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA OP60135971) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-06-12 |