| NPI | 1134191869 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: SD 7010) | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 43331) | 
| Enumeration Date | 2006-02-06 | 
| Last Update Date | 2008-12-26 |