NPI | 1982694147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DE C10008372) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 220677) |
208000000X Pediatrics (Licence: MA 220677) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2008-09-03 |