NPI | 1174903108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD464218) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MT208138) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2022-11-16 |