NPI | 1023100872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DE C1000) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101242420) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2011-09-30 |