| NPI | 1659461457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G32783) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G32783) |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: CA G32783) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-04-18 |