| NPI | 1235330721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 57271) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01067035A) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-06-13 |