| NPI | 1689684839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 54786) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 38519) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-12-07 |