| NPI | 1649085457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IA MD-56439) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.152158) |
| 208000000X Pediatrics (Licence: IA MD-56439) | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2026-07-16 |