| NPI | 1811962970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A62846) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A62846) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-06-06 |