NPI | 1881836344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 125864) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036.129487) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2021-10-27 |