| NPI | 1053641720 | 
|---|---|
| Professional Name | M MICHAEL THALER | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G6901) | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G6901) | 
| Enumeration Date | 2010-01-01 | 
| Last Update Date | 2010-01-01 |