| NPI | 1144540741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX Q1171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q1171) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2024-08-06 |