| NPI | 1053678169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine Transplant Hepatology (Licence: CO 0055257) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CO 0055257) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2021-09-23 |