NPI | 1184918120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD463837) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD463837) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2020-03-19 |