A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pediatric Gastroenterology | 2080P0206X |
* Indicates primary specialty
| NPI Number | 1013763929 |
| Credentials | CRNP (Certified Registered Nurse Practitioner) |
| Entity | Individual |
| Enumeration date | 04/30/2024 |
| Last updated | 05/02/2025 - More than a year ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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