| NPI | 1720314164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: CT 68688) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 244232) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME118942) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2021-07-14 |