| NPI | 1710943758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.049234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35049234) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-10-15 |