| NPI | 1114946605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME114359) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036-081400) |
| 207RI0008X Internal Medicine, Hepatology (Licence: FL ME114359) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-11-08 |