| NPI | 1861750218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2021039686) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.134486) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-10-12 |