| NPI | 1285098376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX S0119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10055843) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-07-25 |