| NPI | 1689606287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-10741) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 48367) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 48367) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-06-05 |