| NPI | 1053365510 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M1729) | 
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: TX M1729) | 
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: TX M1729) | |
| Enumeration Date | 2006-05-20 | 
| Last Update Date | 2010-04-23 |