| NPI | 1225107840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101043016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101043016) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-08-09 |