| NPI | 1154311769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 70376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 70376) |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: MA 70376) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2013-09-18 |