| NPI | 1760912604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 72951) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AZ 72951) |
| 208000000X Pediatrics (Licence: SC LL51160) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-09-03 |