| NPI | 1669890075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: AL MD.42798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R1877) |
| 208000000X Pediatrics (Licence: AL MD.42798) | |
| 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TX R1877) | |
| 2080T0004X Pediatrics Pediatric Transplant Hepatology (Licence: AL MD.42798) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-07-08 |