| NPI | 1295155307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61545910) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: WA MD61545910) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-12-06 |