| NPI | 1275546467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: NY 238439) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: AZ 52412) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-04-21 |