| NPI | 1700892676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD066875L) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD066875L) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-11-26 |