| NPI | 1851383178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA10014400) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD441877) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 34944) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2023-11-03 |