| NPI | 1952339178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: ME 014200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 014200) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-01-03 |