NPI | 1598941627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 095077) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036177189) |
Enumeration Date | 2008-01-18 |
Last Update Date | 2025-09-17 |