| NPI | 1639242977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.136969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C52431) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C52431) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C52431) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-06-01 |