| NPI | 1063552479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N2702) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: AZ 37303) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-05-22 |