| NPI | 1154597284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 242616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 242616) |
| 207RI0008X Internal Medicine, Hepatology (Licence: MA 242616) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2017-02-07 |