| NPI | 1932177052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: SC 51197) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2012-00929) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036097590) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-03-17 |