| NPI | 1336180843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: AL MD.23995) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: AL 23995) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-11-25 |