| NPI | 1669402087 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: OH 35.079553)  | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.079553)  | 
| Enumeration Date | 2006-07-03 | 
| Last Update Date | 2021-10-28 |