| NPI | 1477895290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DC MD046989) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD046989) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2020-01-23 |