| NPI | 1154332682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01088091A) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME39172) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G165687) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA BC61196776) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-08-22 |