| NPI | 1194867747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 36698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 36698) |
| 207RI0008X Internal Medicine, Hepatology (Licence: KY 36698) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-02-14 |