| NPI | 1770825275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C190821) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO DR.0055436) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 61253) | |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: CO DR.0055436) | |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: AZ 61253) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-02-27 |