| NPI | 1427082700 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX R8387) | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01053853A) | 
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2024-06-04 |