| NPI | 1609304211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 02007151A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125070313) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2026-02-06 |