NPI | 1356313241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101-233252) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-233252) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2021-11-02 |