| NPI | 1205806882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2007028237) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME87230) |
| 207RI0008X Internal Medicine, Hepatology (Licence: FL ME87230) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2022-08-23 |