| NPI | 1275896599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2017015140) |
| Additional Taxonomies | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: MO 2017015140) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2025-04-17 |