| NPI | 1871741181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 249732) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 249732) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: RI MD14582) | |
| 208M00000X Hospitalist (Licence: MA 249732) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2020-11-04 |