| NPI | 1336374511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 13628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8597) |
| 207R00000X Internal Medicine (Licence: IA 39729) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 8276332-1205) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: ND 13628) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2018-03-17 |