| NPI | 1154436616 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL MD.45832) | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01041280A) | 
| Enumeration Date | 2006-08-21 | 
| Last Update Date | 2023-02-16 |