| NPI | 1710133657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD189822) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: OR MD189822) |
| 208000000X Pediatrics (Licence: OR MD189822) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2018-12-04 |