NPI | 1023181450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD422298) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08584800) |
207RT0003X Internal Medicine, Transplant Hepatology (Licence: NJ 25MA08584800) | |
207RT0003X Internal Medicine, Transplant Hepatology (Licence: PA MD422298) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2019-10-03 |