| NPI | 1477600336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101268796) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301103269) |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: MI 4301103269) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-07-30 |