| NPI | 1225092349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 22402) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: KY 22402) |
| 207R00000X Internal Medicine (Licence: KY 22402) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-02-14 |