| NPI | 1093704959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60316902) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD175007) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD175007) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: OR MD175007) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2021-02-10 |