| NPI | 1194709816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101229426) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101229426) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-01-13 |