| NPI | 1396891974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0054243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00048035) |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: CO DR.0054243) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-03-06 |