| NPI | 1073669297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: OH 35082416) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35082416) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35082416) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-10-28 |