| NPI | 1114134301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: KY 59671) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 57006204) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2026-07-23 |