| NPI | 1881128593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301501804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301501804) |
| 208000000X Pediatrics (Licence: MI 430150184) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-07-05 |