| NPI | 1366534307 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 23431) | 
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: AL 23431) | 
| Enumeration Date | 2006-09-28 | 
| Last Update Date | 2012-02-07 |