| NPI | 1215256086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01091959A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012019815) |
| 208000000X Pediatrics (Licence: IN 01091959A) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OK 31144) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35133457) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2024-02-20 |