| NPI | 1053517565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI 13848) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: RI 13848) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2012-04-11 |