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 |