| NPI | 1578852828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: SC 38048) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: SC 38048) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL L3415R) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-01-09 |