| NPI | 1972775286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-18368) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-18368) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 257394) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2024-12-11 |