| NPI | 1053575340 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 239085)  | 
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NY 248069)  | 
| Enumeration Date | 2008-07-15 | 
| Last Update Date | 2015-02-09 |