NPI | 1407838220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A42441) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A42441) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2025-04-04 |