| NPI | 1568850261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: IN 01080950A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01080950A) |
| 208000000X Pediatrics (Licence: NY 280439) | |
| 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: NY 280439) | |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2022-05-17 |