| NPI | 1033243191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301085143) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085143) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-11-27 |