| NPI | 1891130241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01088906A) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OK 29983) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-12203) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2023-03-23 |