| NPI | 1861582157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA 311879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M5224) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 86771) | |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: TX M5224) | |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2019-04-11 |