| NPI | 1538195128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-15860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201755) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA 201755) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2022-10-28 |