| NPI | 1174688071 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A55853)  | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 29162)  | 
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: CA A55853)  | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: OK 29162)  | |
| Enumeration Date | 2006-12-22 | 
| Last Update Date | 2018-11-01 |