| NPI | 1992026140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 070003) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 070003) |
| 208000000X Pediatrics (Licence: GA 4241) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-06-15 |