| NPI | 1710471024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01096527A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301115760) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KY 60899) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2026-02-02 |