| NPI | 1003891094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2004-00457) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200400457) |
| 207RI0008X Internal Medicine, Hepatology (Licence: NC 200400457) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-01-23 |