| NPI | 1124006929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 25626) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: NV 10692) |
| 207RI0008X Internal Medicine, Hepatology (Licence: AZ 25626) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-10-05 |