| NPI | 1093155632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01082129A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013020238) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-12-28 |