NPI | 1144354440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TX N3263) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N3263) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2012-01-10 |