NPI | 1477525723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101-057411) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-057411) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2011-08-16 |