| NPI | 1134299308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101840379) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: VA 0101840379) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-06-15 |