| NPI | 1194055640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A109953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109953) |
| 207RI0008X Internal Medicine, Hepatology (Licence: CA A109953) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2021-01-18 |