| NPI | 1366676223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 207661) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: LA 207661) |
| 207R00000X Internal Medicine (Licence: LA 207661) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2015-07-13 |