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 |