| NPI | 1407347636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S9986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11184) |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: TX S9986) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-07-31 |