| NPI | 1245379270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NM MD2008-0174) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A108701) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A108701) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-10-11 |