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 |