NPI | 1942421102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO DR.0057229) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2009014180) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2016-08-26 |