| NPI | 1033187968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO R2G73) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R2G73) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-04-17 |