| NPI | 1093981946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: MO 2012029914) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD430062) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 04-35879) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 25201) | |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: KS 04-35879) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-02-21 |