| NPI | 1407073422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-13757) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-13757) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 0436401) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2013014796) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-03-22 |