| NPI | 1093155632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MO 2025029054) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: IN 01082129A) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2025-08-12 |