| NPI | 1225658297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL DO.3666) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL DO.3666) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-10-03 |