| NPI | 1770089096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.142352) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: OH 35.142352) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-06-11 |