| NPI | 1114942190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080T0004X Pediatrics Pediatric Transplant Hepatology (Licence: MA 213587) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 213587) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-08-24 |