NPI | 1669404232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA MD.203490) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL 24193) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2010-04-14 |