| NPI | 1922386994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IA MD-51181) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-51181) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2023-07-13 |