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 |