| NPI | 1093826430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2019033020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 22864) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 22864) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 04-42498) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-02-10 |