| NPI | 1255447165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2021-01110) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: WA 00046577) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-12-14 |