| NPI | 1316922958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A77140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A77140) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA74330) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: CA A77140) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2022-07-21 |