| NPI | 1831489996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036173195) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036137475) |
| 208000000X Pediatrics (Licence: OH 35.123879) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.123879) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2025-07-21 |