| NPI | 1235293325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: CA A107002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188611) |
| 207RH0000X Internal Medicine, Hematology (Licence: CA A107002) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2018-10-24 |