NPI | 1649347584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G48011) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD218930) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2024-04-17 |