| NPI | 1154596500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: OH 35-132038) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: OH 35-132038) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35-132038) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-11-23 |