| NPI | 1245636596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 111423) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: TN 59366) |
| 207R00000X Internal Medicine (Licence: TN 59366) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2026-06-22 |