| NPI | 1780757906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NM MD2022-0043) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME 101913) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01036719a) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-02-18 |