| NPI | 1407858889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00040414) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: WA MD00040414) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2021-05-24 |