| NPI | 1740231455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: ID M-10380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M10380) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-04-25 |