| NPI | 1174508691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 21964) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 27263) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 32538) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: AZ 21964) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2018-04-30 |