| NPI | 1336501576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35136564) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35136564) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35136564) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2024-11-19 |