| NPI | 1326208638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: WA MD60967156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60967156) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60967156) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2019-11-18 |