| NPI | 1699080994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 55636) |
| Additional Taxonomies | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: TN 55636) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-07-21 |