| NPI | 1972705259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A106843) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A106843) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2019-08-23 |