| NPI | 1942763867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL MD.46114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-3771) |
| 208000000X Pediatrics (Licence: AL MD.46114) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-06-17 |